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Trial ยท NCT04958785

Study of Magrolimab Combination Therapy in Patients With Non-Surgically Removable Locally Advanced or Metastatic Triple-Negative Breast Cancer

NCT04958785, Phase 2, Terminated, Gilead Sciences; results first posted 2025-10-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Magrolimab Combination Therapy in Patients With Non-Surgically Removable Locally Advanced or Metastatic Triple-Negative Breast Cancer. Trials, record NCT04958785. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04958785

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Magrolimab Combination Therapy in Patients With Non-Surgically Removable Locally Advanced or Metastatic Triple-Negative Breast Cancer
NCT number
NCT04958785
Status
Terminated
Phases
Phase 2
Enrollment
92 participants, actual
Lead sponsor
Gilead Sciences
Conditions
Triple-Negative Breast Cancer
Interventions
Magrolimab, Nab-Paclitaxel, Paclitaxel, Sacituzumab Govitecan-hziy
First posted
2021-07-12
Last updated
2025-11-04
Other registries' IDs
eudract:2021-001074-27
Results first posted
2025-10-03

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimarySafety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose-Limiting Toxicities (DLTs)First dose date up to 28 days (Cohort 1) and up to 21 days (Cohort 2)
A DLT is defined as any: * Grade 3 or higher hematologic toxicity including: * Hemolytic anemia that is medically significant, requiring hospitalization or prolongation of existing hospitalization, disabling, or limiting self-care activities of daily life. * Event meeting Hy's Law criteria: * Treatment-emergent alanine aminotransferase (ALT) or aspartate aminotransferase (AST) elevation (at least 3 x ULN), AND * Treatment-emergent total bilirubin elevation (more than 2 x ULN), and absence of cholestasis (defined as alkaline phosphatase less than 2 x ULN), AND * No other good explanation for the injury (hepatitis A, B, C, or other viral hepatic injury, alcohol ingestion, congestive heart failure, worsening liver metastases). * Grade 3 or higher nonhematologic toxicity that has worsened in severity from pretreatment baseline during the DLT assessment period, and in the opinion of the investigator, the AE is at least possibly related to magrolimab.
PrimarySafety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)First dose date up to last dose date (up to 73 weeks) plus 30 days
TEAEs are defined as any events not present prior to the study treatment, or any events already present but worsening in either intensity or frequency following exposure to the study treatment. TEAEs were any AEs with an onset date on or after the date of the first dose of study treatment up to 30 days after the date of the last dose of study treatment, or the day before initiation of subsequent anticancer therapy, whichever comes first. An AE is any untoward medical occurrence in a clinical study patient administered a study drug that does not necessarily have a causal relationship with the treatment.
Primary
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
First dose date up to last dose date (up to 73 weeks) plus 30 days
Treatment-emergent laboratory abnormalities according to NCI CTCAE V5.0 are defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point, up to and including the date of last dose of study drug plus 30 days and prior to the day before initiation of subsequent anti-cancer therapy. Grade 1 mild, Grade 2 moderate, Grade 3 severe, Grade 4 life-threatening and Grade 5 death. Percentages were rounded off.
PrimaryPhase 2 Cohort 1: Progression-free Survival (PFS) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Up to 107 weeks
PFS was defined as the time from the date of randomization until the earliest date of documented disease progression (PD), as determined by investigator assessment per RECIST version 1.1, or death from any cause, whichever occurred first. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Kaplan-Meier (KM) estimates were used in outcome measure analysis.
PrimarySafety Run-in Cohort 2 and Phase 2 Cohort 2: Confirmed Objective Response Rate (ORR) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Up to 107 weeks
ORR is defined as the percentage of participants who achieve a complete response (CR) or partial response (PR) as determined at least 4 weeks after initial documentation of response by investigator assessment per RECIST v1.1. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Clopper-Pearson estimates were used in outcome measure analysis. Percentages were rounded off.
SecondaryPhase 2 Cohort 1: Confirmed ORR as Determined by Investigator Assessment Per RECIST, Version 1.1Up to 107 weeks
ORR is defined as the percentage of participants who achieve a CR or PR that is confirmed at least 4 weeks after initial documentation of response, as measured by RECIST version 1.1, as determined by investigator assessment. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Clopper-Pearson estimates were used in outcome measure analysis. Percentages were rounded off.
SecondarySafety Run-in Cohort 2 and Phase 2 Cohort 2: PFS as Determined by Investigator Assessment Using RECIST Version 1.1Up to 107 weeks
PFS is defined as the time from the date of randomization until the earliest date of documented disease progression, as determined by investigator assessment per RECIST version 1.1, or death from any cause, whichever occurs first. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
SecondaryPhase 2 Cohort 1, Safety Run-in Cohort 2 and Phase 2 Cohort 2: Duration of Response (DOR) as Determined by Investigator Assessment Per RECIST Version 1.1Up to 107 weeks
DOR is defined as time from first documentation of CR or PR to the earliest date of documented PD, as determined by investigator assessment per RECIST version 1.1, or death from any cause, whichever occurs first. CR was defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR was defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
SecondaryPhase 2 Cohort 1, Safety Run-in Cohort 2 and Phase 2 Cohort 2: Overall Survival (OS)Up to 107 weeksOS is defined as time from date of randomization to death from any cause.
SecondaryPhase 2 Cohort 1 and Cohort 2: Percentage of Participants Experiencing TEAEsFirst dose date up to last dose date (up to 73 weeks) plus 30 days
TEAEs are defined as any events not present prior to the study treatment, or any events already present but worsening in either intensity or frequency following exposure to the study treatment. TEAEs were any AEs with an onset date on or after the date of the first dose of study treatment up to 30 days after the date of the last dose of study treatment, or the day before initiation of subsequent anticancer therapy, whichever comes first. An AE is any untoward medical occurrence in a clinical study patient administered a study drug that does not necessarily have a causal relationship with the treatment. Percentages were rounded-off.

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYSafety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose-Limiting Toxicities (DLTs)First dose date up to 28 days (Cohort 1) and up to 21 days (Cohort 2)
DLT-Evaluable Analysis Set included all participants who meet 1 of the following criteria:~* Participant experienced a DLT at any time after initiation of the first infusion of magrolimab.~* Participant did not experience a DLT and completed at least 3 infusions of magrolimab (28-day cycle), and at least 2 doses of nab-paclitaxel or paclitaxel (Safety Run-in Cohort 1 (SRiC1)), at least 2 infusions of magrolimab (21-day cycle), and at least 2 infusions of sacituzumab govitecan (SRiC2).
percentage of participantsNUMBER
PRIMARYSafety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)First dose date up to last dose date (up to 73 weeks) plus 30 daysThe Safety Analysis Set in the Safety Run-in Cohorts 1 and 2 included all participants who took at least 1 dose of any study drug.percentage of participantsNUMBER
PRIMARY
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
First dose date up to last dose date (up to 73 weeks) plus 30 daysParticipants in the Safety Run-in Cohorts 1 and 2 in the Safety Analysis Set were analyzed.percentage of participantsNUMBER
PRIMARYPhase 2 Cohort 1: Progression-free Survival (PFS) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Up to 107 weeksParticipants from Phase 2 Cohort 1 in the Intent-to-treat (ITT) Analysis Set were analyzed.monthsMEDIAN
PRIMARYSafety Run-in Cohort 2 and Phase 2 Cohort 2: Confirmed Objective Response Rate (ORR) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Up to 107 weeksParticipants in the modified Intent-To-Treat (mITT) Analysis Set (Cohort 2) were analyzed.percentage of participantsNUMBER
SECONDARYPhase 2 Cohort 1: Confirmed ORR as Determined by Investigator Assessment Per RECIST, Version 1.1Up to 107 weeksParticipants from the Phase 2 Cohort 1 in the ITT Analysis Set were analyzed.percentage of participantsNUMBER
SECONDARYSafety Run-in Cohort 2 and Phase 2 Cohort 2: PFS as Determined by Investigator Assessment Using RECIST Version 1.1Up to 107 weeksParticipants in the mITT Analysis Set (Cohort 2) were analyzed.monthsMEDIAN
SECONDARYPhase 2 Cohort 1, Safety Run-in Cohort 2 and Phase 2 Cohort 2: Duration of Response (DOR) as Determined by Investigator Assessment Per RECIST Version 1.1Up to 107 weeksParticipants in the ITT Analysis Set (Cohort 1) and mITT Analysis Set (Cohort 2) with objective response were analyzed.monthsMEDIAN
SECONDARYPhase 2 Cohort 1, Safety Run-in Cohort 2 and Phase 2 Cohort 2: Overall Survival (OS)Up to 107 weeksParticipants in the ITT Analysis Set (Cohort 1) and mITT Analysis Set (Cohort 2) were analyzed.monthsMEDIAN
SECONDARYPhase 2 Cohort 1 and Cohort 2: Percentage of Participants Experiencing TEAEsFirst dose date up to last dose date (up to 73 weeks) plus 30 daysParticipants in the Safety Analysis Set were analyzed.percentage of participantsNUMBER

Results by group62

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose-Limiting Toxicities (DLTs)Safety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose-Limiting Toxicities (DLTs)Safety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Safety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel100.0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)Safety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan100.0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
Safety Run-in Cohort 1: Magrolimab + Nab-PaclitaxelAny Grade100.0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
Safety Run-in Cohort 2: Magrolimab + Sacituzumab GovitecanAny Grade100.0percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
Safety Run-in Cohort 1: Magrolimab + Nab-PaclitaxelGrade 3 or 462.5percentage of participants
Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities According to National Cancer Institute (NCI) Common Terminology Criteria for AEs (CTCAE), Version 5.0
Safety Run-in Cohort 2: Magrolimab + Sacituzumab GovitecanGrade 3 or 484.6percentage of participants
Phase 2 Cohort 1: Progression-free Survival (PFS) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Phase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel13.995% Confidence Interval 3.5 to NAmonths
Phase 2 Cohort 1: Progression-free Survival (PFS) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1Phase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel10.095% Confidence Interval 1.0 to NAmonths

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel8
Overall StudySTARTEDPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel14
Overall StudySTARTEDPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel14
Overall StudySTARTEDSafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan13
Overall StudySTARTEDPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan43
Overall StudyCOMPLETEDSafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel0
Overall StudyCOMPLETEDPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel0
Overall StudyCOMPLETEDPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel0
Overall StudyCOMPLETEDSafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan0
Overall StudyCOMPLETEDPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan0

Adverse events1,170

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersSafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel78
otherAnaemiaBlood and lymphatic system disordersPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel514
otherAnaemiaBlood and lymphatic system disordersPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel113
otherAnaemiaBlood and lymphatic system disordersSafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan1113
otherAnaemiaBlood and lymphatic system disordersPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan2042
otherFebrile neutropeniaBlood and lymphatic system disordersSafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel08
otherFebrile neutropeniaBlood and lymphatic system disordersPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel014
otherFebrile neutropeniaBlood and lymphatic system disordersPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel013
otherFebrile neutropeniaBlood and lymphatic system disordersSafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan113
otherFebrile neutropeniaBlood and lymphatic system disordersPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan142

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel28
Total, all-cause mortalityPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel314
Total, all-cause mortalityPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel414
Total, all-cause mortalitySafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan613
Total, all-cause mortalityPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan543
Total, other adverse eventsSafety Run-in Cohort 1: Magrolimab + Nab-Paclitaxel88
Total, other adverse eventsPhase 2 Cohort 1 Arm A: Magrolimab + Nab-Paclitaxel or Paclitaxel1414
Total, other adverse eventsPhase 2 Cohort 1 Arm B: Nab-Paclitaxel or Paclitaxel1313
Total, other adverse eventsSafety Run-in Cohort 2: Magrolimab + Sacituzumab Govitecan1313
Total, other adverse eventsPhase 2 Cohort 2: Magrolimab + Sacituzumab Govitecan4142

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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